Achilles Tendon Rupture
Post Rehab Goals and Objectives:
- Improve overall leg strength
- Improve functional capacity
- Increase or maintain ankle range of motion
- Improve calf strength and power
Description
Rupture of the Achilles tendon usually occurs in middle age men while playing basketball, tennis, racquetball or some other form of activity that involves ballistic movements. Surgery and immobilization are required to reduce the rupture. After removal of the cast, the patient should see a physical therapist to normalize range of motion and develop functional strength for ambulation. Once the client has normal range of motion a referral is made to exercise with a post rehab specialist to regain full functional strength. Maintaining and increasing range of motion of dorsiflexion and plantar flexion are important. Power more so strength is essential for recovery and return to sports. The gastrocnemius is the muscle that propels the body forward when walking and running. Without a fully functional gastrocnemius an athlete will not have the ability to push off with any authority when participating in sports.
The gastrocnemius is a two joint muscle crossing the ankle and knee. It is predominately a type 2 muscle. It is normally responsible for explosive movements. Training should begin with seated calf raises and eventually progress to ballistic type training. Flexibility is introduced at the beginning of the program and emphasized throughout the program. Any stretching is done by gradually increasing intensity. The goal is full range of motion dorsiflexion actively. If at any time during the exercise program the client develops calf pain or swelling the exercise should be discontinued.